Evidence map›Paper›PMID 40458598›Full record

ArticleFrontiers in cardiovascular medicine2025

Single-centre, single-blind, randomized, active-controlled phase-3 non-inferiority study to investigate the safety and efficacy of the cardioplegic solution Cardioplexol™.

Hendrik T Tevaearai Stahel, Gabriel Weiss, Peter Landowski, Sandra Folkmann, Marieluise Harrer, Bernard Voet, Martin Grabenwöger

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hendrik T Tevaearai StahelCardiovascular Department, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Gabriel WeissDepartment of Cardiovascular Surgery, Clinic Floridsdorf, Vienna, Austria.
Peter LandowskiDepartment of Cardiovascular Surgery, Clinic Floridsdorf, Vienna, Austria.
Sandra FolkmannDepartment of Cardiovascular Surgery, Clinic Floridsdorf, Vienna, Austria.
Marieluise HarrerDepartment of Cardiovascular Surgery, Clinic Floridsdorf, Vienna, Austria.
Bernard VoetVoet Consulting, Berlin, Germany.
Martin GrabenwögerDepartment of Cardiovascular Surgery, Clinic Floridsdorf, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Effective and reliable cardioplegic cardiac arrest is crucial for maximizing myocardial protection and preserving postoperative contractile function. Aim of this study was to demonstrate, in line with an ongoing European registration procedure, the efficacy and safety of the new Cardioplexol™ solution. Methods: Single-centre, single-blind, randomized, active-controlled phase-3 non-inferiority trial comparing Cardioplexol™ and Buckberg solutions during cardiac surgery. Patients planed for elective CABG, valve surgery and/or aortic root surgery, were considered eligible after meeting all inclusion and exclusion criteria. Peak troponin-T (TnT) during the first 24 h post-reperfusion was defined as primary endpoint. Intraoperative and ICU-related secondary endpoints were also evaluated, as were safety endpoints. Results: Out of 248 operated patients, 226 (100 Cardioplexol™, 126 Buckberg) were considered for per-protocol analysis. Peak-TnT was similar in both groups (0.77 vs. 0.78 ng/ml) and non-inferiority of Cardioplexol™ was confirmed. Delay before complete cardiac arrest (11 vs. 71 s, Conclusion: Efficacy and safety of Cardioplexol™ were demonstrated. Clinical Trial Registration: https://www.clinicaltrialsregister.eu/ctr-search/trial/2011-004198-10/results, Eudra CT-No: 2011-004198-10.

Indexed as

cardiac surgerycardioplegiacardioplegic solutionextracorporeal circulationmyocardial protectionrandomized controlled trial

Identifiers

PMID40458598
PMCPMC12128416

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.